<div class=grid_18>
<div class=grid_10> 
    <div class=block-border> 
        <div class=block-header> 
            <h1>SDA Church - Kwabrafoso: Edit Disciplinary Action</h1><span></span> 
        </div> 

        <form id=validate-form class="block-content form" action="edit" method=post>
                         
            <div class=_50> 
                <p><label for=datepicker>Decision Date</label>
                    <input id="disdate" name="disdate" class="required" type="date" value="<?php echo $record['Disciplinaryaction']['disdate'];?>"/>
                    <input type="hidden" id="disdate" name="disdate" value="<?php echo $record['Disciplinaryaction']['id'];?>"/></p>
            </div> 

            <div class=_50> 
                <p><label for=textarea>Membership ID No</label> 
                    <input id="mshipno" name="mshipno" class="required" class="input-xlarge" type="text" value="<?php echo $record['Disciplinaryaction']['mshipno'];?>"/></p> 
            </div>  
                
            <div class=_50> 
                <p><label for=textarea>Name</label>
                    <input type=text id="name" name="name" class="required" value="<?php echo $record['Disciplinaryaction']['name'];?>"/></p> 
            </div> 

            <div class=_50> 
                <p><label for=textarea>Statement of Offence</label>
                    <input id="offence" name="offence" class="" type="text" value="<?php echo $record['Disciplinaryaction']['offence'];?>"/></p> 
            </div> 

            <div class=_50> 
                <p><label for=textarea>Business Meeting No</label>
                    <input id="buzmid" name="buzmid" class="" type="double" value="<?php echo $record['Disciplinaryaction']['buzmid'];?>"/></p> 
            </div> 
            
            <div class=_50> 
                <p><label for=textarea>Church Decision</label>
                    <input id="conclude" name="conclude" class="" type="double" value="<?php echo $record['Disciplinaryaction']['conclude'];?>"/></p> 
            </div> 
                
            <div class=_50> 
                <p><label for=datepicker>Start Date</label>
                    <input id="sdate" name="sdate" class="" type="date" value="<?php echo $record['Disciplinaryaction']['sdate'];?>"/></p>
            </div> 

            <div class=_50> 
                <p><label for=datepicker>End Date</label>
                    <input id="edate" name="edate" class=" " type="date" value="<?php echo $record['Disciplinaryaction']['edate'];?>"/></p> 
            </div>

            <div class=_50> 
                <p><label for=textarea>Duration</label>
                    <input id="duration" name="duration" class=" " type=" " value="<?php echo $record['Disciplinaryaction']['duration'];?>"/></p> 
            </div> 
            
            <div class=block-actions> 
                <ul class=actions-left> 
                    <li><a class="button red" id=reset-validate-form href="javascript:void(0);">Reset</a></li> 
                </ul> 
                <ul class=actions-right> 
                    <li><input type=submit id="Save-Expenditure" class="button" value="Save Record"></li> 
                </ul> 
            </div> 
        </form> 
    </div> 
</div> 